Sarah, Thanks for all these additional details.I am sorry to hear about your problems.

Well, it can occur due to Gout or Rheumatoid arthritis.Gout occur due to excess of uric acid build up in blood. This happens when body produces extra acid or does not eliminate enough, or if you eat too many foods with purines, such as liver and dried bean.Gout is a disorder of high uric acid deposit in the joints and can result in toe pain.

You need to get serum uric acid and complete blood count test for diagnosis. You also need x-ray of toes to check for arthritis.A complete clinical examination and tests have to be done for precise diagnosis.Line of treatment is- Physical therapy, Anti- inflammatory medications. Also Corticosteroids pills can be prescribed by doctor. For Gout, Colchicine, may also be used for long-term treatment.

I would recommend that you visit Orthopedician for clinical evaluation and get it managed. If pain is severe, then please don't delay and get it managed in ER.

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